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DEPARTMENT OF INSURANCE
Affiliations
Name
Simon, Adam Campbell
DOIID
556518
NAIC NPN
7411283
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
1/3/2003
4/30/2026
Active
Resident
Agent
Life
9/27/2002
4/30/2026
Active
Resident
Agent
Health
9/27/2002
4/30/2026
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
5/2/2009
3/31/2022
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
5/2/2009
3/31/2022
Inactive
American General Life Insurance Company
301585
Agent - Health
3/3/2005
3/24/2011
Active
American General Life Insurance Company
301585
Agent - Life
11/7/2023
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
3/3/2005
3/24/2011
Active
American National Insurance Company
301861
Agent - Life
5/26/2024
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
9/7/2020
3/29/2021
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
9/7/2020
3/29/2021
Inactive
Assurity Life Insurance Company
301099
Agent - Health
1/16/2013
8/29/2018
Inactive
Assurity Life Insurance Company
301099
Agent - Life
1/16/2013
8/29/2018
Inactive
Augustar Life Assurance Corporation
301113
Agent - Health
5/10/2016
12/21/2018
Inactive
Augustar Life Assurance Corporation
301113
Agent - Life
5/10/2016
12/21/2018
Inactive
Augustar Life Insurance Company
301816
Agent - Health
5/10/2016
12/21/2018
Inactive
Augustar Life Insurance Company
301816
Agent - Life
5/10/2016
12/21/2018
Active
Banner Life Insurance Company
301696
Agent - Life
1/5/2017
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
3/22/2006
10/6/2011
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
3/22/2006
10/6/2011
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/25/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/25/2014
Active
C.M. Life Insurance Company
301335
Agent - Health
10/11/2002
Active
C.M. Life Insurance Company
301335
Agent - Life
10/11/2002
Active
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
1/23/2003
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Health
9/14/2017
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Life
9/14/2017
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
12/24/2018
2/12/2020
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
12/24/2018
2/12/2020
Inactive
First Colony Life Insurance Company
301179
Agent - Health
11/6/2003
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
11/6/2003
1/1/2007
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/27/2021
12/14/2022
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/27/2021
12/14/2022
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/4/2007
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
3/22/2006
10/6/2011
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
3/22/2006
11/9/2011
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
6/26/2020
12/14/2023
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
6/26/2020
12/14/2023
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
12/27/2013
6/28/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/15/2015
6/28/2021
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/8/2006
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/8/2006
6/7/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
8/24/2021
10/8/2023
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/24/2021
10/8/2023
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
4/26/2016
11/19/2017
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
3/8/2006
12/12/2006
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
10/17/2018
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
10/17/2018
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
10/17/2018
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
3/27/2003
8/17/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
3/27/2003
8/17/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
3/27/2003
8/17/2010
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Life
9/10/2023
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Variable Life and Variable Annuities
11/4/2022
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
10/11/2002
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
10/11/2002
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
1/23/2003
Active
Metropolitan Life Insurance Company
301948
Agent - Health
9/20/2011
Active
Metropolitan Life Insurance Company
301948
Agent - Life
9/20/2011
Inactive
Midland National Life Insurance Company
300923
Agent - Health
3/9/2011
1/16/2020
Active
Midland National Life Insurance Company
300923
Agent - Life
2/11/2021
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
2/11/2021
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
6/26/2013
5/22/2014
Active
Nationwide Life Insurance Company
300495
Agent - Health
4/28/2015
Active
Nationwide Life Insurance Company
300495
Agent - Life
4/28/2015
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/28/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
4/28/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/28/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
4/28/2015
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
11/1/2015
4/23/2019
Active
Pacific Life Insurance Company
301848
Agent - Health
7/3/2023
Active
Pacific Life Insurance Company
301848
Agent - Life
3/20/2024
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/20/2024
Active
Penn Insurance and Annuity Company
300712
Agent - Life
1/25/2023
Active
Penn Mutual Life Insurance Company
301394
Agent - Life
1/25/2023
Active
Principal Life Insurance Company
300129
Agent - Health
2/5/2009
Active
Principal Life Insurance Company
300129
Agent - Life
2/5/2009
Active
Principal National Life Insurance Company
301926
Agent - Life
9/15/2014
Active
Protective Life Insurance Company
300638
Agent - Health
8/2/2023
Active
Protective Life Insurance Company
300638
Agent - Life
8/2/2023
Active
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
8/2/2023
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/12/2003
12/4/2006
Active
Pruco Life Insurance Company
300954
Agent - Life
7/19/2012
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
8/19/2016
Inactive
Standard Insurance Company
300185
Agent - Health
10/9/2003
12/5/2022
Active
Standard Insurance Company
300185
Agent - Life
5/11/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
7/3/2018
12/29/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
7/3/2018
12/29/2023
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/26/2007
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
4/26/2007
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
4/26/2007
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/26/2013
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/26/2013
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
6/26/2013
12/24/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
3/18/2014
11/1/2017
Active
Transamerica Life Insurance Company
300571
Agent - Life
8/23/2018
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
8/23/2018
Inactive
Union Security Insurance Company
301844
Agent - Health
6/12/2013
1/22/2021
Inactive
Union Security Insurance Company
301844
Agent - Life
6/12/2013
1/22/2021
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
6/14/2012
6/24/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
6/14/2012
6/24/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
6/14/2012
6/24/2013
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/7/2005
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
1/7/2005
8/27/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
4/6/2005
12/12/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
4/6/2005
12/12/2006
Inactive
West Coast Life Insurance Company
301607
Agent - Life
3/9/2004
11/16/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
MML Insurance Agency LLC
398679
Agent - Health
2/21/2005
Active
MML Insurance Agency LLC
398679
Agent - Life
2/21/2005
Active
MML Insurance Agency LLC
398679
Agent - Variable Life and Variable Annuities
2/21/2005
Inactive
Medlink Inc
400721
Agent - Health
7/9/2003
3/31/2024
Inactive
Medlink Inc
400721
Agent - Life
7/9/2003
3/31/2024
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